Prognostic factors analysis of diffuse midline glioma

J Neurooncol. 2024 Apr;167(2):285-292. doi: 10.1007/s11060-024-04605-6. Epub 2024 Feb 21.

Abstract

Purpose: This study retrospectively analyzes cases of diffuse midline glioma treated with radiotherapy, with the aim of investigating the prognosis of the tumor and its influencing factors.

Methods: From January 2018 to November 2022, we treated 64 patients who were pathologically diagnosed with diffuse midline glioma. Among them, 41 underwent surgical resection, and 23 underwent biopsy procedures. All patients received postoperative radiotherapy. We followed up with the patients to determine the overall survival rate and conducted univariate and multivariate analyses on relevant indicators.

Results: The median survival time for the entire patient group was 33.3 months, with overall survival rates of 92.9%, 75.4%, and 45.0% at 1 year, 2 years, and 3 years, respectively. Univariate and multivariate analyses indicated that older patients had a better prognosis.

Conclusion: Patient age is an independent prognostic factor for patients with diffuse midline glioma undergoing radiation therapy.

Keywords: Glioma/ diffuse midline glioma; Prognosis; Radiotherapy; Temozolomide.

MeSH terms

  • Brain Neoplasms* / diagnosis
  • Brain Neoplasms* / pathology
  • Brain Neoplasms* / therapy
  • Glioma* / diagnosis
  • Glioma* / therapy
  • Humans
  • Prognosis
  • Retrospective Studies